Key result
Reduced expression of lymphatic endothelial S1pr1 deteriorated cardiac function and worsened pathological cardiac remodeling after myocardial infarction by retarding macrophage clearance.
Why the study?
Lymphatic endothelial cell dysfunction influences pathological remodeling after MI, and S1pr1 expression in cardiac LECs sharply changes post-MI, suggesting a potential role in post-MI remodeling.
Cardiac lymphatic endothelial cells regulate post-MI immune modulation and heart repair via the S1P/S1pr1/ERK/CCL2 pathway, suggesting S1pr1 as a potential therapeutic target for adverse cardiac remodeling.
Should not yet inform post-MI care; leaves open S1pr1 targeting to enhance macrophage clearance and limit remodeling.
Lymphatic endothelial cell homeostasis plays important roles in normal physiological cardiac functions, and its dysfunction significantly influences pathological cardiac remodeling after myocardial infarction (MI). Our results revealed that sphingosine 1-phosphate receptor 1 (S1pr1) expression in cardiac lymphatic endothelial cells (LECs) was sharply changed after MI. It has been shown that S1pr1 tightly controlled LEC functions and homeostasis. We thus hypothesized that lymphatic endothelial S1pr1 might be involved in post-MI cardiac remodeling. We generated LEC-conditional S1pr1 transgenic mice, in which S1pr1 expression was reduced in cardiac LECs. We performed the left anterior descending coronary artery (LAD) ligation operation to induce MI in these mice. Cardiac functions and remodeling were examined by echocardiography analysis and serial histological analysis. Meanwhile, we performed adoptive cell transfer experiments to monitor macrophage trafficking in post-MI myocardium and their draining lymphatic system. Furthermore, in vitro cell culture experiments and mechanism studies were undertaken to uncover the molecular mechanism by which LEC-S1pr1 regulated cardiac inflammation and remodeling after MI. Our results showed that S1pr1 expression significantly decreased in cardiac LECs after MI. Our in vivo experiments showed that the reduced expression of LEC-S1pr1 deteriorated cardiac function and worsened pathological cardiac remodeling after MI. Our further results demonstrated that the reduced expression of LEC-S1pr1 did not influence macrophage infiltration in an early inflammatory phase of MI, but significantly affected macrophages clearance in the later phase of MI via afferent cardiac lymphatics, and thus influenced inflammatory responses and cardiac outcome after MI. Further study showed that S1P/S1pr1 activated ERK signaling pathway and enhanced CCL2 expression, which promoted macrophage trafficking in a paracrine manner. This study reveals that cardiac lymphatic endothelial cells tightly control macrophage trafficking via lymphatic vessels in injured hearts via S1P/S1pr1/ERK/CCL2 pathway and thus regulate post-MI immune modulation and heart repair. This study highlights the importance of cardiac lymphatic vessel system in orchestrating post-MI immune responses and cardiac remodeling by regulating macrophage transit in injured hearts. Our finding implies that a feasible modulation of S1pr1 signaling in LECs might provide a promising target to resolve excessive inflammation and to ameliorate adverse cardiac remodeling after MI.
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Li et al. (2022) studied Myocardial infarction. Lymphatic endothelial cell-specific S1pr1 allele deletion vs. Wild-type littermates was evaluated on Cardiac function (LVEF and LVFS) and macrophage clearance after myocardial infarction. Reduced expression of lymphatic endothelial S1pr1 deteriorated cardiac function and worsened pathological cardiac remodeling after myocardial infarction by retarding macrophage clearance.
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